Individual provider Active NPI

Justin Michael McGinnis, PA-C

  • Physician Assistant
  • Fleming Island, FL
National Provider Identifier
1497234769
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111463 Issued in FL
Practice address
1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505
Phone
(904) 202-6683
Fax
(904) 376-3062
NPI assigned
Aug 8, 2018
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111463 FL Primary

Addresses

Primary practice location

1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505

Mailing address

PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107002447 FL Practitioner - Physician Assistant 0840544029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians
Lyerly Baptist IncGroup PAC ID 9830112226, 72 clinicians

Practice addresses (Care Compare)

1100 Plantation Island Dr S
Suite 220
St Augustine, FL 32080-5174
Phone (904) 223-3321

1747 Baptist Clay Dr
Suite 200
Fleming Island, FL 32003-8505
Phone (904) 516-1950

2349 Village Square Pkwy
Suite 107
Fleming Island, FL 32003-4319
Phone (904) 223-3321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
80.96

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
70.19
Promoting interoperability
98
Improvement activities
40
Cost
68.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Orthopedic Specialists, LLC CurrentSince Aug 20, 2018 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Aug 20, 2018 Accepting new patients
Lyerly Baptist Inc Physician Assistant CurrentSince Nov 3, 2025 Accepting new patients
Jacksonville Spine Center PA CurrentSince Feb 5, 2024 Accepting new patients
Jacksonville Spine Center PA CurrentSince Feb 5, 2024 Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients

Locations

2349 Village Square Pkwy
Ste 107
Fleming Island, FL 32003
Phone (904) 257-0060

4565 US Highway 17
Ste 200
Fleming Island, FL 32003
Phone (904) 630-0640

1747 Baptist Clay Dr
Ste 200
Fleming Isle, FL 32003
Phone (904) 202-6683

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

6500 Bowden Rd
Ste 103
Jacksonville, FL 32216

6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420

Interoperability endpoints

  • Direct secure messaging: jmcginnis339862@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1497234769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746647",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746647",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR STE 200",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038505",
            "telephone_number": "904-202-6683",
            "fax_number": "904-376-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.